A randomized controlled trial to assess the impact of psychoeducation on the quality of life of parents with children with congenital heart defects-Quantitative component.

Autor: Rodrigues MG; Department of Pediatric Cardiology, University Hospital Center of São João (CHUSJ), Porto, Portugal.; Department of Gynecology-Obstetrics and Pediatrics, Faculty of Medicine of Porto University (FMUP), Porto, Portugal.; Center for Health Technology and Services Research (CINTESIS) - EvidenS&HTA, FMUP, Porto, Portugal., Rodrigues JD; Center for Health Technology and Services Research (CINTESIS) - EvidenS&HTA, FMUP, Porto, Portugal., Moreira JA; Department of Pediatric Cardiology, University Hospital Center of São João (CHUSJ), Porto, Portugal., Clemente F; Department of Gynecology-Obstetrics and Pediatrics, Faculty of Medicine of Porto University (FMUP), Porto, Portugal.; Neonatal Intensive Care Unit, Neonatology Department, CHUSJ, Porto, Portugal.; São João Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Training Center, CHUSJ, Porto, Portugal., Dias CC; Knowledge Management Unit and Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), FMUP, Porto, Portugal.; RISE@CINTESIS, FMUP, Porto, Portugal., Azevedo LF; RISE@CINTESIS, FMUP, Porto, Portugal.; Department of Community Medicine, MEDCIDS, FMUP, Porto, Portugal.; Clinical and Health Services Research (PDICSS), FMUP, Porto, Portugal., Rodrigues PP; RISE@CINTESIS, FMUP, Porto, Portugal.; Department of Community Medicine, MEDCIDS, FMUP, Porto, Portugal.; Health Data Science (PDCDS), FMUP, Porto, Portugal., Areias JC; Cardiovascular R&D Unit (UnIC), FMUP, Porto, Portugal., Areias ME; Cardiovascular R&D Unit (UnIC), FMUP, Porto, Portugal.; University Institute of Health Sciences (IUCS), Gandra, Portugal.
Jazyk: angličtina
Zdroj: Child: care, health and development [Child Care Health Dev] 2024 Jan; Vol. 50 (1), pp. e13199. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1111/cch.13199
Abstrakt: Purpose: To develop, implement and assess the results of psychoeducation to improve the QoL of parents with CHD newborns.
Methods: Participants were parents of inpatient newborns with the diagnosis of non-syndromic CHD. We conducted a parallel RCT with an allocation ratio of 1:1 (intervention vs. control), considering the newborns, using mixed methods research. The intervention group received psychoeducation (Parental Psychoeducation in CHD [PPeCHD]) and the usual routines, and the control group received just the regular practices. The allocation concealment was assured. PI was involved in enrolling participants, developing and implementing the intervention, data collection and data analysis. We followed the Consolidated Standards of Reporting Trials (CONSORT) guidelines.
Results: Parents of eight newborns were allocated to the intervention group (n = 15 parents) and eight to the control group (n = 13 parents). It was performed as an intention-to-treat (ITT) analysis. In M2 (4 weeks), the intervention group presented better QoL levels in the physical, psychological, and environmental domains of World Health Organization Quality of Life instrument (WHOQOL-Bref). In M3 (16 weeks), scores in physical and psychological domains maintained a statistically significant difference between the groups.
Conclusions: The PPeCHD, the psychoeducational intervention we developed, positively impacted parental QoL. These results support the initial hypothesis. This study is a fundamental milestone in this research field, adding new essential information to the literature.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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